Organization
MICHAEL R DEFEE DMD PHD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R DEFEE DMD PHD (OWNER)
(843) 882-5165
Entity
Organization
Contact information
Practice address
4622 OLEANDER DR, WILMINGTON, NC 28403-5149
(910) 399-1127
Mailing address
4622 OLEANDER DR, WILMINGTON, NC 28403-5149
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9977
NC
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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